Headquartered in Sioux Falls, South Dakota and operated as a joint venture between Midcontinent Media and Comcast, Midco provides service to 200 communities both urban and rural, serving an area that covers over 1.2 million people.

In the fall of 2008, Charter Communications announced their filing for Chapter 11 bankruptcy protection and the sale of some assets in non-critical areas.

On October 14, 2008, an article appeared in the Fairmont, Minnesota Sentinel,[4] reporting that Charter was selling parts of their system to Midcontinent Communications, including its Bemidji and International Falls headends.

Starting February 1, 2009 Midcontinent Communications took over some Charter's cable systems in Minnesota including Balaton, Bemidji, Canby, Ely, Fairmont, International Falls, Littlefork, Sherburn, and surrounding communities.

[6][7] In October 2016, Midco acquired the assets of the cable system serving Lawrence, Kansas from Wide Open West.

On Friday, April 21, 2023, a Minnesota Twins game aired on the network due to a conflict on Bally Sports North.